The child's lower jaw tends to protrude forward?
Hello Doctor: My child will turn 4 next month and has recently developed a habit of protruding the lower jaw forward, creating an underbite where the lower teeth extend beyond the upper teeth.
When I asked him why he does this, he said it feels more comfortable compared to a normal bite.
Last week during a fluoride treatment, the dentist did not mention any issues with his bite.
He has an extra tooth above his right incisor, which is not urgent and has not been addressed yet.
Could this be related? However, when I asked him if he feels anything with his upper incisors, he said no...
Could it be psychological? Should I keep reminding him about this behavior or take a more passive approach? It occurs very frequently, almost all the time when we are together, and I have to remind him repeatedly; if I don’t, it keeps happening.
How long should this continue before we see a dentist? Thank you for your response.
Xiao An, 30~39 year old female. Ask Date: 2020/11/24
Dr. Zeng Guanghui reply Dentistry
Hello, Xiao An:
1.
It is recommended to consult a dentist for a detailed assessment of your occlusion to determine if there are any impacted teeth and to observe the growth and development of the jawbone, then follow the dentist's advice.
2.
Regarding the right central incisor that has an extra tooth, it is important to evaluate whether the extra tooth affects occlusion and aesthetics, or makes oral hygiene difficult.
It is advisable to seek further evaluation from a dentist.
Director Tseng Guang-Hui, Department of Dentistry, Nantou Hospital
Reply Date: 2020/11/24
More Info
Understanding the forward jaw position in young children can be quite complex, especially when considering the various factors that contribute to dental alignment and overall oral health. In your case, your child, who is about to turn four, has developed a habit of protruding the lower jaw, resulting in a situation where the lower teeth extend beyond the upper teeth. This condition is often referred to as an "underbite" or "prognathism," and it can be influenced by several factors, including dental development, oral habits, and even psychological aspects.
Firstly, it is essential to understand that children's dental structures are still developing, and many variations in alignment can occur as they grow. The fact that your child finds this position more comfortable may suggest that there is a functional aspect to this behavior. Children often adapt their oral posture based on what feels natural or comfortable to them, which can sometimes lead to habits that may not be ideal in the long term.
The presence of supernumerary teeth (extra teeth) above the right central incisor may also play a role in your child's dental alignment. These extra teeth can create additional pressure or misalignment in the dental arch, potentially contributing to the forward jaw position. While your dentist did not indicate any immediate concerns during the fluoride treatment, it would be prudent to monitor the situation closely. If the extra tooth is causing discomfort or affecting your child's bite, it may need to be addressed sooner rather than later.
Regarding whether this behavior is psychological or a habit, it is not uncommon for children to develop oral habits that may be linked to comfort or anxiety. If your child consistently exhibits this jaw position, it may be beneficial to gently remind them of proper jaw alignment without creating anxiety around the issue. Positive reinforcement when they maintain a neutral jaw position can be more effective than constant reminders, which may lead to stress or resistance.
In terms of when to seek further dental evaluation, it is generally advisable to consult a pediatric dentist if the forward jaw position persists or worsens over the next few months. If you notice any signs of discomfort, difficulty chewing, or changes in speech, these would be additional indicators that a professional evaluation is warranted. Pediatric dentists are trained to assess the developmental stages of children's teeth and jaws and can provide guidance on whether any intervention is necessary.
In summary, while your child's forward jaw position may not be an immediate concern, it is essential to monitor the situation closely. Consider the potential impact of the supernumerary tooth and how it may relate to your child's bite. Encouraging proper oral posture through gentle reminders and positive reinforcement can help. If the behavior continues or if any discomfort arises, consulting a pediatric dentist for a thorough evaluation would be the best course of action. Regular dental check-ups are crucial during these formative years to ensure that any potential issues are addressed early, promoting a healthy and functional bite as your child grows.
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